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Maine rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $100.00 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $48.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $87.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $48.98 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $39.81 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $58.88 / $81.28